Individual
KATHERINE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1048 LAMBLEY RD,, LANDISVILLE, PA 17538
(717) 826-4143
Mailing address
1048 LAMBLEY RD,, LANDISVILLE, PA 17538
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP009934
PA
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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